Active NPI
Anat Tadir, DMD
- Periodontics
- Norwalk, CA
National Provider Identifier
1043594328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 50538
- Practice address
- 13926 San Antonio Dr
Norwalk, CA 90650-4005 - Phone
- (949) 933-7594
- NPI assigned
- Oct 5, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 50538 | CA | Primary |
Addresses
Primary practice location
13926 San Antonio Dr
Norwalk, CA 90650-4005
Mailing address
13926 San Antonio Dr
Norwalk, CA 90650-4005
Phone (949) 933-7594
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50538 | CA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1043594328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13926 SAN ANTONIO DR",
"city": "NORWALK",
"state": "CA",
"postal_code": "906504005",
"telephone_number": "949-933-7594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13926 SAN ANTONIO DR",
"city": "NORWALK",
"state": "CA",
"postal_code": "906504005",
"telephone_number": "949-933-7594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TADIR",
"first_name": "ANAT",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-05",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "50538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.